Sat.Jan 21, 2023 - Fri.Jan 27, 2023

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ECG Blog #359 — How Many Beats in the 12-Lead?

Ken Grauer, MD

The ECG in Figure-1 was obtained from a previously healthy older man — who complained of chest pain and “lightheadedness” while this tracing was recorded. He was not hypotensive. His chest pain had begun the night before. In view of this history — How would YOU interpret the ECG in Figure-1 ? A total of 12 beats are seen in the long lead II rhythm strip.

EKG/ECG 195
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EMCrit 342 – More Cardiac Arrest Mastery with PO Berve – Pre-Tidal CO2

EMCrit

More cardiac arrest mastery with the sonorambler EMCrit Project by Scott Weingart, MD FCCM.

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Labels & Wristbands Healthcare System Compatibility

PDC Healthcare

Frequently Asked Questions Patient ID Wristbands PDC’s laser and thermal wristbands can all be used with any EMR system and work with all leading laser and thermal printers, including PDC Certis™ thermal printers. There are also compatible shield style wristbands that accommodate laser or thermal labels. Yes, whether you are converting to a new EMR […] The post Labels & Wristbands Healthcare System Compatibility appeared first on connectID - PDC Healthcare Blog.

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CLOVERS

The Bottom Line

In patients with sepsis-induced hypotension does a restrictive fluid strategy (with early vasopressor usage) compared to a liberal fluid strategy result in lower mortality before discharge by day 90?

Sepsis 52
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Best #FOAMed Finds Jan 2023!

Critical Care North Hampton

We are back…missed us? So, here is a trawl of all that’s hot… nothing that’s not! Enjoy, and follow us if you aren’t already. Jonny – @wilkinsonjonny Ashley – @ICMteaching Marcus – @ICUltrasonica Jump Menu JAM pick of the papers! Best POCUS Best FOAM History! Podcasts! Best websites! Best Meetings! JAM’s Pick of the Papers Some.

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EMCrit – Ghali Grills 2 – Should You Tube the Patient in Severe Hemorrhagic Shock if there is a Delay to OR?

EMCrit

Another grilling from Sam Ghali EMCrit Project by Scott Weingart, MD FCCM.

Shock 98
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Wristband & Label System Compatibility FAQs

PDC Healthcare

Frequently Asked Questions Patient ID Wristbands PDC’s laser and thermal wristbands can all be used with any EMR system and work with all leading laser and thermal printers, including PDC Certis™ thermal printers. There are also compatible shield style wristbands that accommodate laser or thermal labels. Yes, whether you are converting to a new EMR […] The post Wristband & Label System Compatibility FAQs appeared first on connectID - PDC Healthcare Blog.

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Raising the Bar on Digital Health: Clinical Outcomes are the New Standard

MDisrupt

Why are clinical outcomes the new standard in digital health? Find how to improve with our insights after analyzing more than 600 healthtech companies.

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Achilles Tendon Rupture

Core Ultrasound

Peer reviewed by Ben Smith, MD on 1/23/23 Basic Knee Exam MSK Basics Courses

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REBEL Core Cast 94.0 – SBO

RebelEM

Take Home Points SBO should be considered in all patients presenting with abdominal pain particularly if they have a prior abdominal surgical history Patients with SBO often have non-specific signs and symptoms. There is no history or physical exam feature that rules out the disease Lactate elevation is a late finding in SBO. A normal lactate does not rule out the diagnosis Plain X-rays perform poorly in making or ruling out the diagnosis.

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Imaging Case of the Week 538

EMergucate

The following chest x-ray is from a 50 year old with chest tightness. What can be seen?

EMS 52
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Human Understanding in the 5th Revolution

NRC Health

The intersection of data, technology, and healthcare, holds incredible promise—but only if it keeps humanity at its core. Listen to this episode of the Becker's Healthcare Podcast as Jorge Torres, Managing Partner at JIT Associates, and Ryan Donohue, Strategic Advisor at NRC Health, discuss staff support, "transactional culture" versus "transcendental relationship culture", the 5th industrial revolution, and more.

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EEOC Protects Nurse from Retaliation

American Medical Compliance

The U.S. Equal Employment Opportunity Commission (EEOC) protects employees in the United States from many forms of discrimination. One type the EEOC protects workers from is retaliation, which describes when a workplace punishes an employee for reporting instances of discrimination, typically sexual harassment. EEOC Protecting Employees from Retaliation The EEOC recently sued a pediatric medical practice in Tampa Bay over alleged reprisal against an employee.

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Tasty Morsels of Critical Care 068 | Ventilator Triggering

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Today we are going to talk about triggering on the ventilator. Now given the ubiquity of the word “triggering” in contemporary discourse I must confess that i do find it quite “triggering” to walk up to a vent and see the pressure support set at 11 or some other horror show like a PEEP of 7… I mean, who would do such a thing.

COPD 52
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ECG of the Week 18th January 2023 – Interpretation

EMergucate

ECG of the Week 18th January 2023 – Interpretation The key determination here is what the patient’s rhythm is.

EKG/ECG 52
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Chest pain, and Cardiology didn't take the hint from the ICD

Dr. Smith's ECG Blog

Submitted and written by Megan Lieb, DO with edits by Bracey, Smith, Meyers, and Grauer A 50-ish year old man with ICD presented to the emergency department with substernal chest pain for 3 hours prior to arrival. The screening physician ordered an EKG and noted his ashen appearance and moderate distress. Triage EKG: What do you think? Triage physician interpretation: -sinus bradycardia -lateral ST depressions While there are lateral ST depressions (V5, V6) the deepest ST depressions are in V4.

EKG/ECG 52
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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

RebelEM

Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. Despite being highly effective in treating acute allergic reactions, first-generation H1 antihistamines cross the blood-brain barrier and bind to H1 receptors, which can lead to undesirable side effects, including drowsiness, sedation, fatigue, and decreased cognition (Church MK 2010).

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161. Myasthenia Gravis: losing steam

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Myasthenia Gravis. You learned it in medical school, but forgot it after intern year (unless you happen to be a neurologist). Time to review this board-relevant condition as well as key life pearls for managing a Myasthenia Crisis.

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ECG of the Week 25th January 2023

EMergucate

The following ECG was obtained from a 70 year old man with a history of chronic renal impairment, pre-dialysis.

EKG/ECG 52
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Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

Case submitted and written by Dr. Mazen El-Baba and Dr. Evelyn Dell, with edits from Jesse McLaren EMS brought a John Doe, in his 30s, who was found in an urban forest near a homeless encampment on a cool fall day. There were no signs of trauma on scene or on the patient. EMS reported an initial GCS of 8 with pupils equal and reactive. The patient had a witnessed generalized tonic-clonic seizure leading to GCS 4.

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Hydration, aging and mortality

University of Maryland Department of Emergency Med

In a recent study in The Lancet, researchers at NIH attempted to test the hypothesis that optimal hydration may slow down the aging process. A.

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Burr, Cold Baby | Miss Less GIBs

JournalFeed

The JournalFeed podcast for the week of Jan 16-20, 2022. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Burr, Cold Baby Spoon Feed There is no definitive low temperature threshold that predicts severe bacterial infections in hypothermic infants.

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Lab case 395 Interpretation

EMergucate

Question 1: PH = 7.29 That is moderate acidaemia PCO2 = 60 mmHg, that is high (>40). So, we have respiratory acidosis.

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SGEM#390: I Can’t Feel My Face when I Have Bell Palsy, but will Steroids Help?

The Skeptics' Guide to EM

Reference: Babl et al. Efficacy of prednisolone for bell palsy in children: a randomized, double-blind, placebo-controlled, multicenter trial (BellPIC). Neurology 2022 Date: January 3, 2023 Guest Skeptic: Dr. Jennifer Harmon is an MD, Ph.D at Children’s National Hospital in Washington, DC. She is a board-certified pediatric neurologist and completing another fellowship in medical genetics.

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Uncommon Causes of Shock

University of Maryland Department of Emergency Med

An Uncommon Cause of Shock Sepsis is the most common cause of distributive shock encountered in the emergency department and intens.

Shock 40
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Lab case 396

EMergucate

61-year-old man presented to ED with hypoglycemia that was difficult to correct with oral and IV dextrose.

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Where and when should we intubate unstable trauma patients?

University of Maryland Department of Emergency Med

At this month’s Eastern Association for the Surgery of Trauma annual meeting there was a presentation asserting that hemodynamically unstable t.

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